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A 3-year-old girl presented with a very painful swollen right side of her face and neck and fever. This was the first episode. An ultrasound was performed.

Caption:Comparative images of both the parotid glands

Description:The right parotid gland appears enlarged, relatively hypoechoic as compared to the left and demonstrates a heterogeneous echotexture. The normal left parotid gland in contrast shows a homogeneous echotexture.

Caption:Transverse view of the right parotid

Description:The enlarged and heterogeneous right parotid gland is noted again. Few rounded and enlarged hypoechoic intra-parotid lymph nodes are also visualized. There is no evidence of any intra-ductal calculi or ductal dilatation.

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Left parathyroid adenomasA potential kidney donor was detected to have asymptomatic hypercalcemia. An ultrasound of the neck was performed.

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Right parathyroid adenomaA young man presents with painless swelling on the right side of the neck of 15 days duration. An ultrasound of the neck was performed.

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Parotid abscess with reactive lymphadenitisThis is the scan in a young kid with fever and a painful swelling of the right side of the face. She was treated with a 5-day- course of oral antibiotics; however there was minimal clinical ...